PROVIDENCE INTERNAL MEDICINE NORTHEAST
NPI 1144523051
Internal Medicine in Columbia, SC

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

Active since December 15, 2010

114 GATEWAY CORPORATE BLVD, SUITE 330, COLUMBIA, SC 29203(803) 865-4514(803) 865-4932 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Providence Internal Medicine Northeast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE INTERNAL MEDICINE NORTHEAST (NPI 1144523051) is a healthcare organization registered as an internal medicine in Columbia, South Carolina and active in the NPI registry since December 2010. The organization lists Angela Haithcock, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1144523051

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameAUGUSTINE HEALTH GROUP, LLC

Location Address114 GATEWAY CORPORATE BLVD, SUITE 330Columbia, SC 29203-9740

Mailing Address114 Gateway Corporate Blvd, Suite 425Columbia, SC 29203-9740 · (803) 865-4780 · Fax (803) 865-4932

Phone(803) 865-4514

Fax(803) 865-4932

Organization SubpartNo

Authorized OfficialAngela HaithcockProject Manager · (803) 865-4780

Enumeration DateDecember 15, 2010

Last NPPES UpdateFebruary 6, 2012

✔ NPI 1144523051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

114 GATEWAY CORPORATE BLVD, Columbia, SC 29203

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Other Names 1

Doing Business AsProvidence Internal Medicine Northeast

Other Identifiers 1

Medicare PINDA2264SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP